JAMES COLE, M.D.
Physical Medicine & Rehabilitation Physician · SAINT LOUIS, MO
Individual Active NPI 1063908010
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 645 | 4,637 | $1,165,232 | $479,592 | $381,168 |
| 2023 | 681 | 4,444 | $1,155,178 | $485,328 | $385,227 |
| 2022 | 264 | 2,086 | $441,860 | $216,334 | $172,346 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,843 | $75 | $60 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,829 | $113 | $90 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 426 | $165 | $132 |
| 99239 | Hospital discharge day management, more than 30 minutes | 350 | $109 | $87 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 126 | $139 | $110 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 21 | $102 | $81 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 17 | $172 | $137 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 15 | $99 | $69 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ✓ | 2018017057 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.